Director of Claims and Savings Analysis

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Requirements:

• Bachelor’s degree required; advanced degree in statistical analysis, health policy or a related field preferred.
• 10+ years of experience in healthcare professional services such as actuary, claims analysis, consulting, or similar environments.
• Experience managing a team of direct reports preferred.
• Strong qualitative and quantitative analysis skills with proficiency in Excel; advanced statistical tools like Python or Snowflake preferred.

Responsibilities:

• Own the creation and delivery of savings calculation methodologies.
• Establish a roadmap for improvements in the savings analysis process and action plan.
• Drive market-facing savings validation activities.
• Oversee all claims repricing for clients and prospective clients.
• Act as a subject matter expert in discussions across various functions.